Dr Brent Wayne Keenportz, MD in Grand Island, NE

Dr Brent Wayne Keenportz, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Grand Island, Nebraska. He went to University Of Nebraska College Of Medicine and graduated in 1994 and has 31 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Grand Island Dermatology Pc, Chi Health Clinic Specialty Llc and his current practice location is 2620 W Faidley Ave, Grand Island, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 398-5424.

Dr Brent Wayne Keenportz is licensed to practice in Nebraska (license number 19924) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912026790.

Contact Information

	Dr Brent Wayne Keenportz, MD
	2620 W Faidley Ave, Grand Island, NE 68803-4205
	(308) 398-5424
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Brent Wayne Keenportz
Gender	Male
Speciality	Pathology
Experience	31 Years
Location	2620 W Faidley Ave, Grand Island, Nebraska
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Brent Wayne Keenportz attended and graduated from University Of Nebraska College Of Medicine in 1994

NPI Data:

NPI Number: 1912026790
Provider Enumeration Date: 03/29/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5799884367
Enrollment ID: I20070621000647

Medical Identifiers

Medical identifiers for Dr Brent Wayne Keenportz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912026790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	19924 (Nebraska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi Health St. Francis	Grand island, NE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Grand Island Dermatology Pc	0244284768	9
Chi Health Clinic Specialty Llc	4789098443	251

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Brent Wayne Keenportz allows following entities to bill medicare on his behalf.

Entity Name	Grand Island Dermatology Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609836535 PECOS PAC ID: 0244284768 Enrollment ID: O20050308000957

Entity Name	Chi Health Clinic Specialty Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brent Wayne Keenportz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Brent Wayne Keenportz, MD 16405 Weir St, Omaha, NE 68135-1218 Ph: (402) 699-1991	Dr Brent Wayne Keenportz, MD 2620 W Faidley Ave, Grand Island, NE 68803-4205 Ph: (308) 398-5424

Reviews and Comments

Pathology Doctors in Grand Island, NE

Dr. Kris L Mleczko, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 2620 W Faidley Ave, St. Francis Med. Ctr., Grand Island, NE 68803 Phone: 308-398-5424 Fax: 308-398-5429
Dr. Suzette Anne Woodward, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-398-5424 Fax: 308-398-5429
Dr. Scott Alan Frankforter, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-398-5424 Fax: 308-398-5429

Dr Brent Wayne Keenportz, MD - Medicare Pathology in Grand Island, NE